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Case Reports
. 2021 Feb 27:26:12.
doi: 10.4103/jrms.JRMS_128_20. eCollection 2021.

Myocardial infarction without coronary artery occlusion following mental stress

Shafeajafar Zoofaghari  1 , Fariborz Nikaen  2 , Shahrzad Bahramsari  1 , Mozhdeh Hashemzadeh  3 , Gholamali Dorooshi  1
Affiliations
Case Reports

Myocardial infarction without coronary artery occlusion following mental stress

Shafeajafar Zoofaghari et al. J Res Med Sci. .

Abstract

Myocardial infarction (MI) with nonobstructive coronary arteries (MINOCA) is syndrome with clinical evidence of acute MI (AMI) with normal coronary arteries. This study reports the case of a 23-year-old single woman referring to the hospital with clinical manifestations of MI, with electrocardiography findings of slow ventricular tachycardia or accelerated idioventricular rhythm and atrioventricular dissociation, and high troponin levels, which was admitted with the diagnosis of MINOCA due to mental stress (grief) and was discharged after 4 days of monitoring and following stabilization of conditions and absence of symptoms. Other causes of MINOCA ruled out through imaging studies. Mental stress can lead to MINOCA.

Keywords: Coronary artery; myocardial infarction; stress; troponin.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Electrocardiography on arrival (a) and time of hospital discharge (b)
Figure 2
Figure 2
Angiogram showing unobstructed coronary arteries
See this image and copyright information in PMC

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